Ortho Oracle - orthopaedic operative atlas

Extension Teardrop Fracture of C2

– Discussion:    – anterior longitudinal ligament inserts on anteroinferior portion of the C2 body;    – w/ extreme hyperextension, ligament may remain intact but may avulse from its insertion, pulling a corner of C2 body with it;    – vertical ht of the fracture fragment is > than its horizontal width;    – hyperextension … Read more

Extension Type Supracondylar Fractures

– Discussion:     – extension type accounts for 95% of cases, & is caused by a fall on outstretched hand with hyperextension of the elbow;     – anterior periosteum is torn;     – there may be a significant amount of local bleeding and swelling;     – nerves & blood vessels are contused, compressed, … Read more

Exposure of Nail Matrix and Proximal Nail Fold

– Discussion:     – insert the freer elevator under the nail fold for nail protection;     – make two full thickness tangential incisions laterally and proximally starting and the proximal-lateral borders of the nail fold;     – retract the flap w/ skin hooks, to expose the matrix;     – note: this … Read more

Extended Trochanteric Osteotomy

– Discussion:      – indications:            – well fixed femoral components (fully coated press fit stems;            – for revision of femoral stems placed in significant varus;            – expose the lateral femur by diving the insertion of the lateralis off the vastus tubercle and then elevating the vastus lateralis off the linea aspera;       – … Read more